The three stars are for the bed frame itself. It is a great addition to my father's room as he needed something to help with his acid reflux. However, a little pricey for a simple adjustable bed frame. Once the bed comes to you working properly (I have to have a replacement bed sent because the motor for the foot of the bed was detached), it is very easy to set up, just screw of four legs. However, this is very heavy (~130 lbs) so when you are sent a defective item and then told "you can just donate the old one" when you had to pay someone to get it upstairs for you, it is quite disheartening. I guess some consider that good customer service, but the customer shouldn't have to hassle with that or pay additional money when the replacement is sent for assembly (getting it upstairs) when the issue wasn't one I caused; the bed was sent to me broken. I strongly suggest you have help or use this in a first floor bedroom.